ATI RN
ATI RN Custom Exams Set 2
1. Which type of diet is recommended for patients with diverticulitis during an acute flare-up?
- A. High-fiber
- B. Low-residue
- C. Low-fat
- D. High-protein
Correct answer: B
Rationale: During an acute flare-up of diverticulitis, a low-residue diet is recommended. This diet helps reduce bowel movements and minimizes irritants in the colon, which can help alleviate symptoms and promote healing. High-fiber diets, like choice A, are typically recommended for diverticulosis prevention but may exacerbate symptoms during a flare-up due to increased bulk in the stool. Low-fat (choice C) and high-protein (choice D) diets are not specifically indicated for diverticulitis flare-ups.
2. Glenda has cholelithiasis (gallstones). You expect her to complain of:
- A. Pain in the right upper quadrant, radiating to the shoulder.
- B. Pain in the right lower quadrant, with rebound tenderness.
- C. Pain in the left upper quadrant, with shortness of breath.
- D. Pain in the left lower quadrant, with mild cramping.
Correct answer: A
Rationale: Patients with cholelithiasis often complain of pain in the right upper quadrant, radiating to the shoulder.
3. A healthcare provider assesses a client with pneumonia. Which clinical manifestation should the provider expect to find?
- A. Fremitus
- B. Hyperresonance
- C. Dullness on percussion
- D. Decreased tactile fremitus
Correct answer: C
Rationale: Pneumonia often leads to the consolidation of lung tissue, resulting in dullness on percussion. This occurs due to the presence of fluid or inflammatory material in the alveoli. Fremitus and decreased tactile fremitus are more indicative of conditions like pleural effusion or pneumothorax, where there is an increase in the density of the pleural space or air in the pleural cavity. Hyperresonance, on the other hand, is typically associated with conditions causing air trapping, such as emphysema, where there is increased air in the alveoli.
4. One criticism of Freud's psychosexual theory was that it __________.
- A. did not apply to other cultures
- B. underemphasized the influence of sexual feelings
- C. compared human development to the evolution of the human species
- D. offered too narrow a view of important environmental influences
Correct answer: A
Rationale: One criticism of Freud's psychosexual theory was that it did not apply to other cultures. Freud developed his theory based on observations and cases from his clinical practice in a specific cultural context, mainly Western society. This limited cultural scope raised concerns about the generalizability and applicability of his theories to diverse cultural settings. Choice B is incorrect because Freud's theory actually emphasized the significant influence of sexual feelings on human development. Choice C is incorrect because Freud's theory focused on stages of psychosexual development rather than comparing human development to the evolution of the human species. Choice D is incorrect because Freud's psychosexual theory considered environmental influences, although it primarily centered on internal drives and conflicts.
5. 24 hours after the creation of a colostomy, what should Nurse Violy identify as the normal appearance of the stoma?
- A. Pink, moist, and slightly protruding from the abdomen
- B. Gray, moist, and slightly protruding from the abdomen
- C. Pink, dry, and slightly protruding from the abdomen
- D. Red, moist, and slightly protruding from the abdomen
Correct answer: A
Rationale: Following colostomy surgery, a healthy stoma should appear pink, moist, and slightly protruding from the abdomen, which is why option 'A' is the correct answer. A gray stoma (choice 'B') could indicate poor blood supply or necrosis, which is a serious complication. A dry stoma (choice 'C') is also not normal as it should be moist; a dry stoma may suggest dehydration or other complications. While a stoma can appear red (choice 'D'), this is not typically the normal color; it should usually be pink. Therefore, it's important for healthcare professionals to correctly identify the normal and abnormal appearances of a stoma to ensure proper patient care.